Chapter 875: [875] The Experienced Doctor’s Diagnosis Chapter 875: [875] The Experienced Doctor’s Diagnosis “She has a cold, doesn’t she?” The child’s mother, always plagued with anxiety, chattered incessantly at the side, “Please prescribe some cold medicine for her quickly. I won’t take her to the health room for medication. I need to rush home to prepare meals for the whole family.”
One had to admit, the incessant babble of relatives by the side indeed affected the doctor’s train of thought while examining the patient.
Nie Jiamin’s brows knitted slightly.
When the teacher was disturbed while diagnosing the patient, Xie Wanying immediately asked the relative for the child’s basic information, “Sister, what’s your daughter’s name and how old is she this year?”
Having successfully diverted her attention, the child’s mother finally stopped her mumbling and turned to answer, “My daughter’s name is Wang Lulu; she is five years old this year.”
“Does she have a history of drug allergy? For instance, has she ever been injected with penicillin? Has any doctor told you she’s allergic to penicillin?” Since the child was too young to answer these professional questions, Xie Wanying interrogated the relative.
“No,” Lulu’s Mom shook her head, “My daughter has been injected at the health room before. How long are you going to examine her? If I took her to the health room, they probably would have already given her the medication by now.”
As she spoke, Lulu’s Mom became agitated again, seeing the other patients in different lines finishing one after another, while her daughter had been waiting for a long time with no resolution.
Xie Wanying, as if she hadn’t heard her complaints, or rather, must steer the relative’s thoughts to focus on the child’s condition in line with the doctor’s thinking, asked, “When did Lulu have her injection?”
“It should have been quite a long time ago,” said Lulu’s Mom.
Her answer and the doctor’s question were completely at odds. Fortunately, being a doctor, one was accustomed to such occurrences. Xie Wanying earnestly noted in the medical record that no drug allergy history was found in the patient and then inquired from the relative about the child’s history of the disease, “How long has she had these symptoms?”
“She has been coughing for several days, and it’s getting worse.”
“Did she have any difficulty breathing at the beginning?”
“Difficulty breathing?”
“It’s like when you see her coughing repeatedly, her chest seems a bit stifled, she coughs violently, she makes movements like grabbing her clothes, and then she can’t quite cry.” Xie Wanying described the child’s potential symptoms during an illness very vividly and specifically.
When dealing with questions from relatives, especially those with anxiety, doctors must be more patient and meticulous in guiding their recollections. This was something only an experienced doctor could do.
Now, even He Guangyou and Qiu Ruiyun were surprised. She had been in Hepatobiliary Surgery for a month and had not been on outpatient duty with anyone; given that her rounds were short, they really had no idea she had already shown such a commendable performance in patient inquiry.
After Xie Wanying’s guiding questions, Lulu’s Mom remembered some of the special circumstances her daughter experienced at home, “She does act sometimes at home. So, I thought her cold was getting severe and brought her to see the doctor.”
“Is there a lot of nasal discharge?” Xie Wanying continued to write on the medical record.
“Sometimes it’s quite a lot.”
“She likes to pick her nose with her fingers, causing a bit of bleeding sometimes – I often scold her for it,” said Lulu’s Mom.
On the other side, after finishing the auscultation, Nie Jiamin turned his head, apparently quite approving of the student’s recent inquiry about the patient’s medical history, and therefore nodded at the student.
Acknowledging the teacher’s signal, Xie Wanying waited for the teacher to return to his position, and then handed over the completed medical record for the teacher to review.